Organization
AC ASSISTED LIVING
Active
Organization
AC ASSISTED LIVING
Active
Other names
AC Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN DIKE RN (DIRECTOR)
(480) 203-5862
Entity
Organization
Contact information
Practice address
3907 W. LANE AVE, PHOENIX, AZ 85051-5754
(623) 547-7232
(623) 215-2341
Mailing address
3907 W. LANE AVE, PHOENIX, AZ 85051-5754
(623) 547-7232
(623) 215-2341
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10714H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL11475H
AZ DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
05/04/2018
Last updated
02/24/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up